[1]刘慧丽 马亚欣 党群** 王秋明 张荷（河南大学河南省人民医院妇科,郑州000）.腹腔镜下膀胱阴道瘘早期修补加大网膜覆盖的临床效果[J].中国微创外科杂志,2019,01(5):465-467.
　Liu Huili,Ma Yaxin,Dang Qun,et al.Clinical Effects of Early Laparoscopic Repair of Vesicovaginal Fistula and Coverage With Greater Omentum[J].Chinese Journal of Minimally Invasive Surgery,2019,01(5):465-467.
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腹腔镜下膀胱阴道瘘早期修补加大网膜覆盖的临床效果()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2019年5期
页码:
465-467
栏目:
经验交流
出版日期:
2019-05-25

文章信息/Info

Title:
Clinical Effects of Early Laparoscopic Repair of Vesicovaginal Fistula and Coverage With Greater Omentum
作者:
刘慧丽 马亚欣 党群** 王秋明 张荷（河南大学河南省人民医院妇科; 郑州450003）
（河南大学河南省人民医院妇科，郑州450003）
Author(s):
Liu Huili;  Ma Yaxin;  Dang Qun;  et al.
Department of Gynecology, Henan Provincial People’s Hospital of Hennan University, Zhengzhou 450003, China
关键词:
膀胱阴道瘘; 微创手术; 大网膜; 修补
Keywords:
Vesicovaginal fistula; Minimally invasive surgery; Greater omentum; Repair
文献标志码:
B
摘要:
目的探讨腹腔镜下膀胱阴道瘘早期修补加大网膜覆盖的临床效果。方法回顾性分析2013年1月~2017年12月妇科手术后2个月内膀胱阴道瘘修补术13例资料。12例在腹腔镜下行瘘口严密缝合加大网膜创面覆盖，1例因大网膜粘连仅在腹腔镜下行瘘口严密缝合修补。结果手术时间105~197 min，（148.2±24.0）min；出血量80~120 ml，（103.9±11.6）ml。12例修补成功，1例仅行瘘口修补者手术失败，术后5天再次漏尿，3个月后二次修补手术成功。13例随访8~16个月，漏尿无复发，排尿正常。结论腹腔镜下早期修补膀胱阴道瘘可行，临床效果满意。
Abstract:
ObjectiveTo evaluate the clinical effect of early laparoscopic repair of vesicovaginal fistula and coverage with greater omentum.MethodsA retrospective analysis was made on 13 patients who received vesicovaginal fistula repair within 2 months after gynecological surgery from January 2013 to December 2017. There were 12 cases of laparoscopic tight suture of fistula and coverage with greater omentum and 1 case of suture of fistula under laparoscopy, without coverage of wound due to omental adhesion.ResultsThe operation time was 105-197 min (mean, 148.2±24.0 min). The volume of blood loss was 80-120 ml (mean, 1039±11.6 ml). Twelve cases were successfully repaired. One case only underwent fistula repair failed,and urine leakage again 5 days after operation, and a second repair was successful 3 months later. There was no recurrence of urine leakage in the 13 patients during followups for 8-16 months, with normal voiding. ConclusionEarly repair of vesicovaginal fistula under laparoscope is feasible and satisfactory.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目：河南省科技发展计划项目(182102310471)；河南省医学科技攻关计划项目（201602224）**通讯作者，Email：dangjunyang@126.com
更新日期/Last Update: 2019-08-22